Spine Surgery - Auxin Surgery

Indications

Revision spine surgery

Easy & safe detachment of fibrosis adhering to the dura mater, implanted devices and peripheral nerves, tendons & muscles

Preserve targeted structures (e.g. of a risk of iatrogenic lesions) and so, will lead to better intraoperative and perioperative outcomes

Resources

Revision spine surgery case with CADISS® - Dr. Collard, 2020

Dr. Xavier Collard. Head of Orthopaedic department. Internship supervisor & Master of Medicine Education – ULB – CHU Ambroisé Paré, Belgium

Spine revision case with CADISS® - Dr. triffaux, 2021

Dr. Michel Triffaux. Neurosurgeon, head of department. Centre Hospitalier de Wallonie Picarde. Tournai. Belgium

Dr. X. Collard, BELGIUM (CHU Ambroise Paré. 2018-2020 & Pr. O. De Witte, BELGIUM (ULB Erasme) & Dr. A. Lubansu, BELGIUM (ULB Erasme)

Use of CADISS® medical devices to facilitate dissection of epidural fibrosis in patients who undergo a revision in spine surgery after at least one year.

Dr. Xavier Collard. Head of Orthopaedic department. Internship supervisor & Master of Medicine Education – ULB – CHU Ambroisé Paré, Belgium.

Pr. Olivier De Witte. Head of Neurosurgery department – Hospital ULB Erasme, Belgium.

Dr. Alphone Lubansu, Assistant clinical head, Neurosurgeon – Hospital ULB Erasme, Belgium.

Objective : The primary objective of the study is to evaluate the ability of the CADISS® System to dissect epidural fibrosis in spine revision surgery after at least one year without cutting.

The secondary objectives cover the surgeon satisfaction and the usability the CADISS® System. The safety of the device is evaluated on the reported AE

Methodology : This study is a prospective, multi-sites, open label, single cohort clinical trial evaluating the use of CADISS® medical devices to facilitate dissection of epidural fibrosis in patients who undergo a revision in spine surgery after at least one year. Number of patients: 21. Three visits are planned in the course of the study: a screening (V1)/pre-surgical visit (V1bis), the intervention day (V2), a post-operative follow-up at 4 to 5 days following the surgery (V3) and a follow-up visit at 6 weeks post-surgery.

Conclusion : Globally the results of this study confirm the conclusions of the prospective randomized trial performed by Denaro in 2008 The safety, usability, and effectiveness of the CADISS® system in lumbar spine revision is confirmed. The usability and ergonomics of the CADISS® System in both the manual and remote – control configurations were verified. It was concluded that the device is safe and effective for its intended clinical use.

Denaro V & al. 2008

Denaro V, Di Martino A, Longo UG, Costa V, Papalia R, Forriol F, Denaro L. Effectiveness of a mucolytic agent as a local adjuvant in revision lumbar spine surgery. Eur Spine J 2008; 17:1752-1756

Casale M & al. 2010

Casale M, Di Martino A, Salvinelli F, Trombetta M, Denaro V. Mesna for chemically assisted tissue dissection. Expert Opin Investig Drugs 2010;19(6): 699-707.

CADISS®, a new solution for more selective dissection in spine & MS surgeries, BELGIUM (17/12/2020)

Lecturer : Dr. Xavier Collard. Head of Orthopaedic department. Internship supervisor & Master of Medicine Education – ULB – CHU Ambroisé Paré, Belgium.

Moderator : Pr. Frederic Schuind. Head of Orthopaedic and Traumatology department. Ordinary Professor at the ULB – Erasme University Hospital, Belgium.

SUMMARY
CADISS®, a new solution for more selective dissection in spine & MS surgeries, BELGIUM (17/12/2020)

Lecturer : Dr. Xavier Collard. Head of Orthopaedic department. Internship supervisor & Master of Medicine Education – ULB – CHU Ambroisé Paré, Belgium.

Moderator : Pr. Frederic Schuind. Head of Orthopaedic and Traumatology department. Ordinary Professor at the ULB – Erasme University Hospital, Belgium.

EXPERIENCE OF THE USE OF CADISS®(15/12/2021)

Lecturer : Dr. Michel Triffaux, neurosurgery, spine unit. CHWAPI Belgium.7500 Tournai.

Moderator : Valérie Gordenne, Chief Scientific Officer, AuXin Surgery

Dr. Triantafyllos Bourass

Neurosurgery, spine department, CH Wallonie Picarde

A minimally invasive revision spine case can lead to many challenges including an increased risk of a dural tear, which is more difficult to repair than in the case of a conventional approach.

We have recently introduced the use of the CADISS system in a few cases of recurrent herniated discs. The first impression is the significant help it brings that makes it possible to catch up the additional waiting time for soaking by accelerating the time of the dissection of fibrosis.

Dr. Xavier Collard

CHU Ambroise Paré, Spine Surgery. Mons, Belgium

« Patients who undergo for spine revision surgery with epidural fibrosis in which CADISS® is used intraoperatively present better intraoperative and perioperative parameters. The surgical difficulty and the incidence of dural tears and intraoperative bleeding from epidural veins are significantly reduced. »

Dr. Michel Triffaux

Neurosurgeon, head of department, internship supervisor. (Centre Hospitalier de Wallonie PicardeCHR Citadelle). Tournai, Belgium

« At first I was septic but after using the CADISS it really helps in spinal revision surgery which is always a challenge for the surgeon. »